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Figure 4-5. Locating the second intercostal space (wound on casualty's left side)

 
  
 
b. Locate the Insertion Site. The insertion site is located in the second
intercostal space (the area between the second and third ribs, counting from the top) at
the mid-clavicular line (an imaginary line perpendicular to the ribs approximately in line
with the casualty's nipple) on the same side of the chest as the penetrating wound.
Figure 4-5 shows the location of the second intercostal space. Figure 4-6 shows the
mid-clavicular line.
Figure 4-5. Locating the second intercostal space (wound on casualty's left side).
Figure 4-6. Locating the mid-clavicular line (wound on casualty's left side).
c. Prepare Catheter/Needle Unit. Remove the catheter/needle unit from its
packaging and then remove the protective covering.
d. Insert the Catheter/Needle. Firmly insert the needle (with catheter covering)
into the skin above the top of the third rib into the second intercostal space at a 90-
degree angle (figure 4-6). Continue inserting the needle until the chest cavity has been
penetrated. You will feel a "pop" as the needle enters the chest cavity. A hiss of
escaping air under pressure should be heard.
MD0877
4-9


   


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